临产妇第一产程行为反应异常相关因素影响研究

Behavior of Pregnant Women Reacted First Stage of the Relevant Factors

目的分析临产妇第一产程行为反应异常相关原因的影响因素,探讨有效的整体处理方法。方法回顾分析2006年—2009年在我科住院头位分娩90例产妇产程观察中反应异常的临床资料与心理状况,并与同期87例行为反应正常的产妇作对照分析。结果异常组难产47例(50.2%),对照组11例(12.9%),两组比较有统计学意义(χ2=16.913,P<0.01);异常组对分娩疼痛体验、担心难产、担心会阴切开各因子分别高于正常组,相关分析上述各因子变量间呈正相关(P<0.01)结论第一产程行为反应异常组潜在着头位难产因素和分娩负面因素与心理状态密切关联,分娩方式与负面心理状况有关。

Objective The first stage of clinical maternal-related causes abnormal behavioral responses of the impact of factors of an effective overall treatment.Methods Retrospective analysis of 2006—2009 hospitalized in our department 90 patients with cephalic parturition observed in response to abnormal clinical and psychological status,and to respond with the same period 87 cases of normal maternal behavior was calculated.Results 47 patients with abnormal dystocia（50.2%）,control group 11 cases（12.9%）,the two groups was statistically significant（χ2=16.913,P0.01）;abnormal pain of childbirth experience,fear childbirth,fear episiotomy all factors higher than the normal group,correlation between the variables of each factor was positively correlated（P0.01）.Conclusion The first stage abnormal behavioral responses of his head,difficult delivery factors and the potential negative factors and the psychological state of birth is closely related,delivery mode and the negative psychological condition.